Measurements
These are sensory experiences where a person feels sensations on or in their body that are not actually present.
What are tactile hallucinations?
When the CIWA score is 8 or more.
What is requires provider notification?
Current or recent use of alcohol or benzodiazepines requiring a physician's order for precautions and assessment (2 part).
What is withdrawal precautions and CIWA orders?
Your patient on CIWA has a rapid heart rate, very high blood pressure, and a fever.
What is autonomic instability?
My head feels crazy, like it's full of fluff. I feel like there is a vice on my head.
What is headache, fullness in head?
This is a sudden, intense episode of sweating occurring without apparent cause during alcohol withdrawal.
What is paroxysmal sweats?
Multipart response:
Symptoms of withdrawal can start as early as ____ hours after cessation of using and last up to _____ to _____ hours.
Multipart question:
What is as early as 4 hours after cessation of use and last up to 24-48 hours?
Assessing type, onset, amount, frequency, periods of sobriety, time of last use, prior treatment, response to treatment, and family history.
What is assessing substance use?
More intense and pronounced with physical movements.
What is the difference between agitation and anxiety?
Holding a conversation with no one or hearing disturbing sounds or other things that are not there.
What are auditory disturbances?
A mental state where a person lacks the ability to think clearly, concentrate, and focus, characterized by confusion, disorientation, and impaired memory or attention.
What is a clouded sensorium?
Delirium tremens may appear from ___ to ___hours after the last drink.
What is 48-72 hours?
Patient has a history of alcoholism/substance abuse, history of DTs, suspicion use more than patient indicates, support person reports significant substance use.
What is assessing for consideration of withdrawal precautions.
Anxiety can lead to this condition marked by a quickness to frustration or anger and restlessness leading to distress.
What is agitation?
Seeing zombies, dead people, other things known to not be present.
What are visual disturbances?
Symptoms include persistent worry and rumination; feeling on edge or restless; difficulty concentrating or making decisions; physical symptoms such as rapid heartbeat, sweating, tremors, and muscle tension; sleep disturbances; and irritability.
What is anxiety?
Two part response:
Complete an assessment every ___ hour x ____hours.
What is every hour for 4 hours?
Patient reports drinking a handle of vodka every day.
What is requires CIWA and withdrawal precautions?
DTs appear in your patient.
What is severe or complicated withdrawal?
When the arms are extended and there's no visible shakiness, but you can feel it fingertip to fingertip.
What is a low scoring tremor?
A state of extreme discomfort and frustration characterized by excessive verbal or motor activity, such as restlessness, irritability, pacing, and hostility.
What is agitation?
DTs can last for ______to ___________.
What is several days to a week?
The patient has been out of their pain pills since yesterday and report instead drinking a 12 pack today to manage their pain.
What is withdrawal precautions using COWS and CIWA?
DTs can be a potentially ___ _____ _____.
What is a potentially life-threatening condition?
Pacing back and forth or constantly thrashing about.
What is high scoring agitation?